<!--
Do not modify the NAME value of any of the INPUT fields
the FORM action, or any of the hidden fields (eg. input type=hidden).
These are all required for this form to function correctly.
-->
<style type="text/css">

	.myForm td, input, select, textarea, checkbox {
		font-family: georgia, tahoma;
		font-size: 14px;
	}

	.myForm {
		background-color: #FFF3EA;
		border: 3px solid #FF4E00;
		padding: 10px;
	}

	.required {
		color: red;
	}
</style>
<form method="post" action="%%FormAction%%" id="frmSS%%FormID%%" onsubmit="return CheckForm%%FormID%%(this);">
	<table border="0" cellpadding="2" class="myForm">
		%%FormContents%%
		<tr>
			<td>&nbsp;</td>
			<td>
				<br /><input type="submit" value="%%LNG_Form_Subscribe_Button%%" />
				<br/>%%LNG_Form_Branding%%
			</td>
		</tr>
	</table>
</form>

<script type="text/javascript">
// <![CDATA[
%%Javascript%%
// ]]>
</script>
